The nursing care plan for a client in hospice who is experiencing daytime coughing due to excessive accumulated secretions should include:
A) chest physiotherapy.
B) antitussive medication.
C) bronchodilators.
D) reducing fluid intake.
A) chest physiotherapy.
Explanation: A) The client who is coughing due to excessive secretions will benefit from chest physiotherapy to help mobilize accumulated secretions.
B) Antitussive medications suppress a cough and are particularly effective at bedtime to help the patient achieve rest. They will not reduce the amount of secretions or help the client expel the secretions.
C) If bronchospasm is a causative factor, inhaled bronchodilators are used to relax the smooth muscles of the airway.
D) Nonpharmacologic interventions for cough include increasing the humidity in the environment and keeping the patient well hydrated, if possible, to decrease the viscosity of respiratory secretions.
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